Non-Surgical Treatment Options For Pain & Injuries

Dr Stebbing offers diagnostic evaluation and non-surgical treatment options in Camas, WA!

Platelet Rich Plasma

The use of platelets in the treatment of injuries has been available for over 30 years. In more recent years, high profile athletes have brought its benefits to recovery and quick return to sport to the forefront. Now Platelet-Rich Plasma (PRP) is considered a first-line treatment to muscle, fascial, ligament or joint injuries that cause pain and/or dysfunction.

Its use in other areas of the body, such as aesthetics (Vampire facials), for erectile dysfunction, Peyronie’s disease in men (P-shot) and incontinence, lichen sclerosis, lowered libido and dyspareunia in women (O-shot), Platelet-Rich Plasma is offering options for healing and repair, changing the medical paradigm.

Prolotherapy

Prolotherapy (proliferative therapy) was the first regenerative treatment for joint arthritis. It is a simple elegant procedure used to strengthen the bonds between tendons and ligaments to bone. Tendon and ligament injuries can result in pain, weakness, and reduced function in areas all over the body.

Prolotherapy is effective in treating chronic back pain, neck pain- especially whiplash injuries, rotator cuff injury, early Arthritis, ankle sprains, pain after surgery, accident-related pain, and so much more!

O-Shot

The O-Shot is a non-surgical solution to female sexual dysfunction and stress urinary incontinence. The O-Shot is a drug-free treatment that uses platelet-rich plasma (PRP) to repair vaginal tissue and improve overall function and sensitivity.

Life events like childbearing, aging, and hormonal changes that can impact the function of the vagina. The O-shot can treat issues like vaginal laxity, stress urinary incontinence, loss of vaginal lubrication, and decreased sensitivity interfere with your sexual health and ultimately lessen your quality of life.

P-Shot

The Priapus-Shot® is an innovative, non-surgical treatment that helps repair aging or injured erectile tissue and improves Peyronie’s disease and erectile function. 

The benefit of the P-Shot is dependent on the health of the recipient and the degree of dysfunction or injury. A man who uses Viagra, Cialis, Levitra, or Staxyn with good success is the optimal candidate.

Trigger Point Release

Trigger points resulting from muscular injury and/or overuse – can cause extreme pain and/or dysfunction. Trigger point release can address these chronic irritations that cause pain at night, especially as you sleep on your back or hip. Dr Stebbing treats trigger points with osteopathic manipulation directly to the area, acupuncture dry needling and in some cases with an injection of local anesthetic.

Osteopathic Manipulation

As an Osteopathic Sports Medicine physician, Dr. Stebbing uses her hands to both diagnose and treat patients. Many times, subtle changes that occur in the soft tissue (skin, fascia and muscles) or in joint alignment aren’t detected by standard testing, and can be missed. Osteopathic manipulation can correct musculoskeletal dysfunction arising from injury and/or alterations in normal posture. Osteopathic manipulation can be used to treat pain, tightness, stiffness, and loss of range of motion in just about any joint or area of the body. Examples include ankle sprain, headaches, back pain (especially after working), rib dysfunction (which can cause difficulty with breathing), and neck stiffness after sleeping in an awkward position.

Nerve Hydrodissection

Nerve hydro-dissection is done with ultrasound visualization. A stream of fluid is used to separate the nerve from the tissue around it, freeing the nerve from whatever has compressed it, allowing it to again glide freely through the tissue. Nerve hydro-dissection might need to be repeated but, unlike surgery, there is no risk of scar formation, which is a common cause of nerve entrapment and nerve pain.

Nerve hydrodissection can be used to treat……

Vampire Facial

The microneedling device has small needles that penetrate through the skin.  The platelet rich plasma is effectively injected in the skin, which stimulates a wound healing environment. Growth factors are release in the dermal layer of the skin which encourages new blood vessel formation, the removal of dead or injured tissue, eventually replacing it with collagen.

Shockwave

The SoftWave TRT technology uses sound waves that are transmitted into the body through a water-containing probe that is larger than an ultrasound probe.  The sound waves are introduced into the body through meachanotransduction. The wave of energy causes a change in the cells that are injured, causing them to release of growth factors.  Shockwave Therapy can encourage healing and repair non-invasively. This reduces the most common risks of injection therapy, which includes bleeding, infection, allergy to a solution or injury to neighboring tissue.  There is less inflammation than prolotherapy or platelet rich plasma, and therefore less pain.

Ultrasound

An ultrasound is an office-based imaging test used to evaluate muscles, tendons, ligaments, nerves, and joints. Unlike X-ray or MRI, it allows a joint to be evaluated while moving. Dr. Stebbing uses ultrasounds to diagnose a number of musculoskeletal conditions, including Torn or injured tendons and ligaments, such as tennis elbow, muscle tears, sprains of the back, ankle, knee, hip, plantar fasciitis, joint arthritis, rotator cuff injuries.

Why Choose Us

Dr. Stebbing is a highly rated independent female Sports Medicine doctor and osteopathic physician in Camas, WA.

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Integrity

She and her staff pursue open, honest relationships, working to establish trust to ensure the best possible outcome for each patient.

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Dedication

Dr Stebbing is dedicated to providing the optimal treatment options for each patient. With this in mind, she works tirelessly to find complementary providers (physical therapist, naturopathic physicians, exercise specialists, nutritionists, physicians and other healers) to assist with improving nutrition, exercise and mindset while healing. She encourages patients to take ownership of their health.

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Resourcefulness

She thinks outside the box, gathering comprehensive information, thoughtfully problem solving, and actively incorporating new ideas and strategies, all with the aim of optimal results.

Frequently Asked Questions

Do you accept insurances?
Dr Stebbing is contracted with a few insurances. (Regence, BCBS, Cigna, United, First Health) Inurances will assist you with your initial consultation and with treatment with Osteopathic Manipulation. Trigger point release and nerve blocks are covered by insurance as well. Most of the other services that she offers to treat injuries are not covered by health insurances. She is not contracted with Medicare because of the many limitations that it imposes and the risks associated with offering treatment that is considered investigation (ie: platelet rich plasma), which has hundreds of studies that have documented its safely and its efficacy. In fact, most people have better outcomes with platelet-rich plasma than steroids, which have shown to encourage degeneration of a joint. Steroids continue to be a covered service despite these studies in all insurances. The paradigm shift in thinking that you need to understand is that healing or repair of damaged tissue with platelet-rich plasma is different than using a bandaid, like a steroid injection.
How long is an initial appointment?

The first appointment is takes 60-90 minutes. During this time, we review the history of your injury.  Please bring in consults from other physicians, surgical reports and radiographic studies (both the report and the images on CD).  A physical exam and if time allows, ultrasound evaluation are done. 

How much does it cost for the initial visit?

A self pay patient will be charged a flat fee of $350, which can include US imaging.  During this visit there is ample time to dialog and have questions answered. The information that you will receive in this time is a worthy investment considering most physicians spend less than half the time to generate the same revenue. Dr Stebbing’s roots in family practice, honors the relationship she has with each individual patient.  She has noticed that the better she knows you and understands your pain, the better she can assist with treatment. 

Are telemedicine visits offered?

Yes, telemedicine visits are offered as the initial appointment for patients that live far away.  Telemedicine visits are also offered for follow ups, review of labs and MRI reports through zoom.

How is treatment determined?

Treatment is determined from the history of the injury/pain that you provide, the physical exam and the radiographic studies.  Many times what you describe or the areas that cause pain when touched are more important than the radiographic studies.  For instance, there are times when the x-ray or MRI looks bad, but the pain is recent, suggesting that something that is not seen on x-ray or MRI is causing the pain.

What are other things that I can do to prepare for my initial visit?

Besides obtaining previous records and radiographic images,  old shoes with a worn wear pattern are helpful to bring to evaluate lower body injuries.  Shorts or skirts make it easier to evaluate knees and feet.  Sports bras or yoga tops make it easier to evaluate shoulders. If you have a brace that you use, bring that in.

Who is the ideal patient for Dr Stebbing?

Dr Stebbing would like to see patients who are dedicated and invested to reducing their pain and improving their function.  Most of these patients already have relationships with naturopathic physicians, physical therapists, and acupuncturist. Her ideal patient values home made food and exercising.  

Patients who have pain and loss of function after a car accident(s) usually have more than one cause of pain.  Dr Stebbing usually has a long term relationship with these people, as treatment over time allows the body to heal. 

Dr Stebbing enjoys treating men with ED and women with incontinence, pain with intercourse, or loss of libido.

Athletes who have recurrent injuries, who are looking for non-surgical options to keep them going. 

Ex-athletes who want to play with their grandchildren or participate in exercise for pleasure.

People with have already had surgery, who are looking to avoid other surgical intervention or who continue to have pain after surgery. 

EDS (Ehlers-Danlos syndrome) or other hypermobile individuals who are looking for solutions for their pain. 

People who are looking for a second opinion value knowledge, which Dr Stebbing can provide.

What conditions does Dr Stebbing treat?

Upper Body Nerves
– Greater Occipital Nerve
– Cervical Plexus
– Brachial Plexus
– Axillary Nerve Pain/Injury
– Suprascapular Nerve Pain/Injury
– Ulnar Nerve Entrapment or Injury
– Radial Nerve Entrapment or Injury
– Median Nerve Entrapment or Injury

Lower Body Nerves
– Superior Cluneal Nerve
– Iliohypogastric Nerve
– Ilioinguinal Nerve
– Lateral Femoral Cutaneous Nerve
– Femoral Nerve
– Sciatica
– Genital Femoral Nerve
– Saphaneous Nerve Injury
– Obturator Nerve Injury
– Peroneal Nerve Entrapment or Injury
– Tibial Nerve Entrapment or Injury

Pelvic Pain or Dysfunction

– Erectile Dysfunction

– Peyronie’s disease

– Incontience

– Low libido

– Dysparenia

– Superior Cluneal Nerve
– Iliohypogastric Nerve
– Ilioinguinal Nerve
– Lateral Femoral Cutaneous Nerve
– Femoral Nerve
– Genital Femoral Nerve

 Neck Pain
– Whiplash
– TMJ Pain or Bite Issues
– Degeneration
– Facet Issues or Arthritis
– Headaches referred from Neck
– Cracking, Tightness
– Cervical Plexus Pain-from nerves in the neck that radiate into head, ear, face
– Brachial Plexus Pain- nerves in the neck that lead to pain, numbness, tingling into the arm
Mid Back Pain 
– Rib Pain
Low Back Pain 
– Facet Issues or Arthritis
– Spondylolithesis
– Tightness
– Recurrent Back Pain, especially with a relatively normal MRI
– Stenosis- treated closely with another like minded physician
– Sciatica
– Whiplash
– Scoliosis

Sacroiliac or Pelvic Pain
– Instability of the SI joint
– Leg  Length Discrepancy that doesn’t hold with repeated adjustments
– Pain after pregnancy
– Night time pain
– Trouble standing up straight
– Nerve Pain
– Abdominal Wall Pain
– Scar Pain

Knee

– Arthritis

– Knee Cap Pain or Patellar Femoral Tracking issues
– Meniscus Injuries
– Medial Collateral Ligament Injuries
– Lateral Collateral Ligament Injuries
– Pes anserine Pain- pain under the joint at the top of the tibia
– Jo[int Effusion (Fluid on the Knee)
– Tibia-Fibula Joint Pain or movement (outside of the knee)
– Saphaneous Nerve Injury
– Obturator Nerve Injury
– Knee hypermobility
– Dislocations after the joint has been re– placed in correct position
– Scar and Pain after Surgery

Foot & Ankle
– Ankle & Toes Arthritis
– Bunions
– Chronic Ankle Sprains & Instability
– Peroneal Tendinitis or Tendinopathy
– Plantar Fasciitis
– Tibia Nerve Entrapment
– Peroneal Nerve Entrapment
– Plantar Fasciitis or other foot pain
– Scar pain
– Continued pain after surgery

Shoulder
– Rotator Cuff Tears

Glenohumeral Joint arthritis (mild to moderate)
– Labral Tears
– Bicep Tendinitis or Tendinopathy
– SLAP Tears
– Acromial Clavicular Joint Arthritis (AC Joint)
– Glenohumeral Instability
– Frozen Shoulder
– Axillary Nerve Pain/Injury (pain or weakness in the upper arm)
– Suprascapular Nerve Pain/Injury (scapula or wing bone pain or weakness)
– Hypermobile or Unstable Joints (shoulder clicks or pops)
– Sternal-clavicular instability or pain
– Tightness
– Scar pain
– Posture related injury (shoulder forward)
– Muscle imbalance (common with weight lifters who concentrate on pecs and forget about lats)
– Rib – Shoulder Blade pain or tightness
– Shoulder Dislocations after shoulder has been put back into place.
– Continued pain after surgery

 

Hip

– Arthritis

– Labral Tears
– Greater Trochanter Pain-pain on the widest part of the hip, noted with laying on it
– Leg Length Discrepancy
– Cam & Pincer Deformity (congenital, from birth)
– Piriformis
– Psoas Tendinopathy
– Quadriceps Tendinopathy
– Gluteus medius, Gluteus minimus – Tendinopathy- weakness with standing on one leg
– Adductor Tendinosis
– Quadricep Tears, Tendinosis
– Hamstring Tears, Tendinosis
– Lateral Femoral Nerve Entrapment/ Injury
– Femoral Nerve
– Groin Pain or Numbness
– Numbness & Tingling of the Thigh or Groin
– Joint Hypermobility (gymnasts, dancers, performance ice skaters)

Elbow

– Arthritis of Elbow, Wrist, Hand, Thumb, & Fingers
– Medial Epicodylitis or Epicondylosis (Golfer’s Elbow)
– Lateral Epicondylitis or Epicondylosis (Tennis Elbow)
– Ulnar Collateral Ligament Injury (Little League Elbow)
– Triceps tendinitis or tendinopathy
– Ulnar Nerve Entrapment or Injury
– Radial Nerve Entrapment or Injury
– Median Nerve Entrapment or Injury
– Joint Hypermobility

Wrist & Hand
– DeQuervain’s Tenosynovitis
– Trigger Finger
– Finger Joint Pain
– Dupytren’s Contracture
– Carpal Tunnel Syndrome
– Radial Tunnel Syndrome
– Ulnar Collateral Ligament Injury (Game Keeper’s or Skier’s Thumb)
– Joint Hypermobility or Instability

 

Who does Dr Stebbing work with?

Dr Stebbing works with many private physical therapists in Camas and Vancouver area.  She works with pelvic floor physical therapists as well as those trained to rehab and correct biomechanical issues.   She has a few massage therapists, chiropractors, personal trainers and acupuncturists that she works with.  She values the input from many of the naturopathic physicians in the area.

She also working within the allopathic model, consulting with other physicians (orthopedics, neurosurgeons, physiatrists, radiologists, family doctors).

Will Dr Stebbing recommend surgery?

If surgery is an option, Dr Stebbing will let you know that you have surgical options. She may expand upon this if there is treatment that she can provide that will improve your surgical outcome.  For instance, if you have a tendinopathy or a partial tendon tear of your glute medius or minimus tendon, she would recommend that the tendon be treated prior to surgery as you will need to rely on this tendon to support your hip after surgery during the rehabilitation period. 

Accurate Diagnosis & Treatment Plan

I first met Dr. Stebbing in my search for knee pain relief. We worked together on my options – the depth of knowledge she had was incredible and she patiently worked through every question I had. As our time progressed she began helping me understand other areas of pain and found the origins – something no doctor had ever taken the time or effort to do! She truly becomes an ally and advocate for each and every patient that enters her office. I can’t thank her enough for caring for me as a person and not just a patient. My life has been changed for the better because of her care!

– Anna

Dedicated Ally & Advocate for Every Patient

Dr. Stebbing put me back on my feet, quite literally, pinpointing problems missed by 4 doctors, 3 surgeries, and years of Physical Therapy. I am eternally grateful.

– Dawn

She Is Magic - Caring, Patient & Super Smart.

Jennifer is the best! I would see her for anything. Muscle, joint, back and alignment issues – she is magic. Super caring, patient and super smart. Thank you Jennifer!

– Jay

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